O Serrano Md Pllc

LBN: Oluwagbenga Serrano
O Serrano Md Pllc is an health care organization with primary practice located at 218 W White Mountain Blvd Suite C, Lakeside AZ 85929-7013. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Oluwagbenga Serrano can be contacted via phone (928) 367-3637, or through Serrano, Oluwagbenga via phone (928) 367-3637.

Contact Information

Primary practice address
218 W White Mountain Blvd Suite C Lakeside AZ 85929-7013
Phone: (928) 367-3637
Fax: (928) 367-3638
Website:
Map and Directions
Authorized official contact:
Name: Serrano, Oluwagbenga Doctor of Medicine (MD)
Phone: (928) 367-3637

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 29877 Arizona

Profile Details

NPI number 1104978600
LBN Legal business name Oluwagbenga Serrano
DBA Doing business as O Serrano Md Pllc
Authorized official Serrano, Oluwagbenga Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Jan 13th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104978600 NPPES
Arizona MEDICAID 025539

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